From the Research
The treatment for a distal toe fracture typically involves conservative management with buddy taping and a rigid-sole shoe for four to six weeks. For pain control, over-the-counter medications like acetaminophen (500-1000mg every 6 hours, not exceeding 4000mg daily) or ibuprofen (400-600mg every 6-8 hours with food) are usually sufficient 1. The injured toe should be buddy-taped to an adjacent toe using medical tape with gauze between the toes to prevent skin irritation, providing stability while allowing for some movement. However, it's essential to consider the potential complications of buddy taping, such as skin injuries and low compliance, as reported in a study by surgeons who use this method to treat finger and toe injuries 2.
Key Considerations
- The use of buddy taping should be carefully considered, taking into account the potential risks and benefits, and alternative methods should be explored if necessary.
- A post-toe shoe, surgical shoe, or stiff-soled shoe can provide additional protection during healing.
- Most distal toe fractures heal within 4-6 weeks without complications.
- Surgery is rarely needed unless the fracture is severely displaced, involves the joint surface, or has broken through the skin.
- Weight-bearing is typically allowed as tolerated, gradually increasing activity as pain subsides.
Management
- Conservative management with rest, ice, compression, and elevation (RICE protocol) is usually sufficient for distal toe fractures.
- The treatment approach may vary depending on the location and severity of the fracture, as well as the patient's overall health and activity level 1.